MRS. AMANDA JOAN AMICUCCI (NPI# 1831594274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831594274 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA JOAN AMICUCCI |
| Credential | CPC |
| Practice Address |
221 Wells Ave S Suite 100 Renton WA 98057-2161 |
| Mailing Address |
2310 165th Avenue Ct E Lake Tapps WA 98391-4928 |
| Practice Telephone | 4255282008 |
| Mailing Telephone | 2066430283 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| Street Address |
221 WELLS AVE S SUITE 100 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982023446 | Jacqueline Marie Delisle | Marriage & Family Therapist | 221 Wells Ave S, Renton, WA 98057-2161 | 2014-04-14 |
| 1891392171 | Angela Campbell | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-10-08 |
| 1962009258 | Josh Xu | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-10-08 |
| 1649883117 | Inez Aguirre | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-08-25 |
| 1235741869 | Emma Byfield | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-08-17 |
| 1063039709 | Hannah Krajnik | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-06-29 |
| 1457970162 | Valerie Stevens | Technician | 221 Wells Ave S, Renton, WA 98057-2161 | 2020-04-13 |
| 1265079115 | Jessica Krzycki | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2019-12-10 |
| 1821630344 | Marie Heaney | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2019-10-16 |
| 1740836014 | Jordann Doler | Counselor | 221 Wells Ave S, Renton, WA 98057-2161 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565094 | Monique L Wells | Peer Specialist | 5035 Talbot Pl S Unit A, Renton, WA 98055-7930 | 2018-10-25 |
| 1699135491 | Serena Mcdonald | Peer Specialist | 251 Ferndale Ct Ne, Renton, WA 98056-5813 | 2016-03-07 |
| 1205301504 | Scott R Larson | Peer Specialist | 221 Wells Ave S, Renton, WA 98057-2161 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.